Individual
DANIELLE NICOLE MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 PIKE DR, WAYNE, NJ 07470-2443
(316) 889-1690
Mailing address
41 HIBERNIA RD, ROCKAWAY, NJ 07866-1824
(201) 458-2246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00823900
NJ
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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